Hypertensive response to thiopental in man during cardiopulmonary bypass.

Abstract:

:We report the effect of 250 mg of sodium thiopental on vascular tone at constant blood flow in 26 patients undergoing cardiopulmonary bypass while the ascending aorta was cross-clamped. Light anaesthesia was effected with fentanyl and enflurane, muscle relaxation with pancuronium. After a latent period of 10.5 +/- 0.7 s there was a hypertensive response of 9.8 +/- 0.5 s duration and of 21.4 +/- 1.7 mmHg (2.8 +/- 0.2 kPa) magnitude; this was followed by hypotension of 39.6 +/- 4.2 s duration and of 18.4 +/- 1.9 mmHg (2.4 +/- 0.3 kPa) magnitude. There was a statistically significant inverse correlation between the hypertension and body temperature (P = 0.005); the time to onset of hypertension correlated directly with pump volume (P = 0.001), weight of the patient (P = 0.03), and cross-clamp time before the drug was given (P = 0.002), and correlated inversely with the serum sodium concentration (P = 0.001). The duration of hypertension was inversely related to the plasma bicarbonate (P = 0.01) and body temperature (P = 0.04). The duration of hypotension was significantly longer in women (P = 0.0001) and was directly related to the duration of cross-clamping (P = 0.0007), to pH (P = 0.0016), and to PCO2 (P = 0.04). We speculate that thiopental induced the hypertensive response due to a potentiation of the vasoconstrictive (local) effect of norepinephrine, and induced the hypotensive response by a central nervous system effect. Thiopental had no apparent effect on venous tone.

authors

Pauca AL,Roy RC

doi

10.1111/j.1399-6576.1986.tb02475.x

subject

Has Abstract

pub_date

1986-10-01 00:00:00

pages

562-5

issue

7

eissn

0001-5172

issn

1399-6576

journal_volume

30

pub_type

杂志文章
  • Comparison of parenteral diclofenac and ketoprofen for postoperative pain relief after maxillofacial surgery.

    abstract::Non-steroidal anti-inflammatory drugs (NSAID) effectively reduce the need for opioid analgesia after various types of surgery. The efficacy of diclofenac and ketoprofen to relieve pain after maxillofacial surgery was compared in the present study. In a randomized and double-blind fashion, 90 ASA I-II patients (16-60 y...

    journal_title:Acta anaesthesiologica Scandinavica

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1111/j.1399-6576.1995.tb05599.x

    authors: Niemi L,Tuominen M,Pitkänen M,Rosenberg PH

    更新日期:1995-01-01 00:00:00

  • Evaluation of a recruitment maneuver with positive inspiratory pressure and high PEEP in patients with severe ARDS.

    abstract:BACKGROUND:To evaluate the effect of a recruitment maneuver (RM) with constant positive inspiratory pressure and high positive end-expiratory pressure (PEEP) on oxygenation and static compliance (Cs) in patients with severe acute respiratory distress syndrome (ARDS). METHODS:Eight patients with ARDS ventilated with lu...

    journal_title:Acta anaesthesiologica Scandinavica

    pub_type: 杂志文章

    doi:10.1111/j.0001-5172.2004.0305.x

    authors: Póvoa P,Almeida E,Fernandes A,Mealha R,Moreira P,Sabino H

    更新日期:2004-03-01 00:00:00

  • Combined spinal and epidural anesthesia for cesarean section in a parturient with moyamoya disease.

    abstract::We present the case of a parturient with moyamoya disease admitted to the hospital for elective cesarean section. Combined spinal and epidural technique was chosen because it allows better analgesia than epidural anesthesia and more hemodynamic stability than either general or spinal anesthesia. Ropivacaine was the lo...

    journal_title:Acta anaesthesiologica Scandinavica

    pub_type: 杂志文章

    doi:10.1111/j.1399-6576.1998.tb05388.x

    authors: Abouleish E,Wiggins M,Ali V

    更新日期:1998-10-01 00:00:00

  • A clinical prospective comparison of anesthetics sensitivity and hemodynamic effect among patients with or without obstructive jaundice.

    abstract:BACKGROUND:To compare isoflurane anesthesia in patients with or without hyperbilirubinemia undergoing hepatobiliary surgery. METHODS:Forty-two patients with obstructive jaundice and 40 control patients with normal liver function scheduled for hepatobiliary surgery under isoflurane anesthesia were studied. Anesthesia w...

    journal_title:Acta anaesthesiologica Scandinavica

    pub_type: 杂志文章

    doi:10.1111/j.1399-6576.2010.02222.x

    authors: Yang LQ,Song JC,Irwin MG,Song JG,Sun YM,Yu WF

    更新日期:2010-08-01 00:00:00

  • Propofol-fentanyl anesthesia compared to thiopental-halothane with special reference to recovery and vomiting after pediatric strabismus surgery.

    abstract::Forty-four children, ASA physical status I or II, aged 1.5-14 years and admitted for strabismus surgery, were studied. The study compared the postoperative condition after two different anesthesia methods. All children were premedicated with midazolam rectally, received glycopyrrolate i.v. and were then randomised to ...

    journal_title:Acta anaesthesiologica Scandinavica

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1111/j.1399-6576.1992.tb03448.x

    authors: Larsson S,Asgeirsson B,Magnusson J

    更新日期:1992-02-01 00:00:00

  • The effect of promethazine on postoperative pain: a comparison of preoperative, postoperative, and placebo administration in patients following total abdominal hysterectomy.

    abstract:BACKGROUND:Histamine receptors are involved in the development of inflammatory pain and hyperalgesia, and the use of antihistamines is advocated as an alternative for pain therapy and treatment of postoperative nausea and vomiting. We investigated the influence of timing of promethazine administration on postoperative ...

    journal_title:Acta anaesthesiologica Scandinavica

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1111/j.1399-6576.2004.00369.x

    authors: Chia YY,Lo Y,Liu K,Tan PH,Chung NC,Ko NH

    更新日期:2004-05-01 00:00:00

  • Vasopressin and nitroglycerin decrease portal and hepatic venous pressure and hepato-splanchnic blood flow.

    abstract:BACKGROUND:Various methods are used to reduce venous blood pressure in the hepato-splanchnic circulation, and hence minimise blood loss during liver surgery. Previous studies show that combination of vasopressin and nitroglycerin reduces portal pressure and flow in patients with portal hypertension, and in this study w...

    journal_title:Acta anaesthesiologica Scandinavica

    pub_type: 杂志文章

    doi:10.1111/aas.13117

    authors: Wisén E,Svennerholm K,Bown LS,Houltz E,Rizell M,Lundin S,Ricksten SE

    更新日期:2018-08-01 00:00:00

  • Iloprost inhalation redistributes pulmonary perfusion and decreases arterial oxygenation in healthy volunteers.

    abstract:BACKGROUND:Previous studies have shown that ventilation-perfusion matching is improved in the prone as compared with that in the supine position. Regional differences in the regulation of vascular tone may explain this. We have recently demonstrated higher production of nitric oxide in dorsal compared with ventral huma...

    journal_title:Acta anaesthesiologica Scandinavica

    pub_type: 杂志文章

    doi:10.1111/j.1399-6576.2009.02018.x

    authors: Rimeika D,Sanchez-Crespo A,Nyren S,Lindahl SG,Wiklund CU

    更新日期:2009-10-01 00:00:00

  • Midazolam as induction agent prior to inhalational anaesthesia: a comparison with thiopentone.

    abstract::Midazolam, a new water-soluble benzodiazepine, was compared with thiopentone as an induction agent prior to inhalational anaesthesia. Induction time, cardiovascular response and venous sequelae were studied in 100 healthy in-patients randomly divided into two groups. Midazolam proved to be a good alternative to thiope...

    journal_title:Acta anaesthesiologica Scandinavica

    pub_type: 杂志文章

    doi:10.1111/j.1399-6576.1984.tb02053.x

    authors: Nilsson A,Lee PF,Revenäs B

    更新日期:1984-06-01 00:00:00

  • Carbon dioxide and argon gas embolism during laparoscopic hepatic resection.

    abstract::During laparoscopic hepatic resection, an abrupt decrease in FE'CO(2) (from 28 mmHg to 9 mmHg) associated with near cardiac arrest occurred concomitantly with hepatic vein laceration and the use of an argon beam coagulator system. During venous gas embolism, transesophageal echocardiography (TEE) proved the transpulmo...

    journal_title:Acta anaesthesiologica Scandinavica

    pub_type: 杂志文章

    doi:10.1111/j.1399-6576.2007.01361.x

    authors: Min SK,Kim JH,Lee SY

    更新日期:2007-08-01 00:00:00

  • Regional anaesthesia for a Caesarean section in women with cardiac disease: a prospective study.

    abstract:BACKGROUND:We conducted a prospective observational survey of pregnant women with cardiac disease. The aim was to analyse and present the mode of delivery, outcome, and haemodynamic changes during a caesarean section under regional anaesthesia in women with cardiac disease. METHODS:All pregnant women with a cardiovasc...

    journal_title:Acta anaesthesiologica Scandinavica

    pub_type: 杂志文章

    doi:10.1111/j.1399-6576.2009.02080.x

    authors: Langesaeter E,Dragsund M,Rosseland LA

    更新日期:2010-01-01 00:00:00

  • Bowel function after bowel surgery: morphine with ketamine or placebo; a randomized controlled trial pilot study.

    abstract:BACKGROUND:Morphine decreases gut peristalsis, and ketamine decreases morphine use after surgery, and does not slow peristalsis. Thus, the combination should result in faster return of bowel function after surgery than morphine alone. METHOD:A double-blind randomized controlled trial of saline vs. ketamine with intrav...

    journal_title:Acta anaesthesiologica Scandinavica

    pub_type: 杂志文章,随机对照试验

    doi:10.1111/j.1399-6576.2007.01436.x

    authors: McKay WP,Donais P

    更新日期:2007-10-01 00:00:00

  • Poikilocapnic hypoxic ventilatory response in humans during 0.85 MAC isoflurane anesthesia.

    abstract::Ventilatory responses to hypoxia (HVR) were investigated using poikilocapnic conditions (i.e. end-tidal CO2's allowed to seek it's own level) in 15 cardio-pulmonary healthy patients who were first studied awake and then at 0.85 MAC isoflurane. The influence of hypercapnia (HyperCapnic Ventilatory Response, HCVR) was a...

    journal_title:Acta anaesthesiologica Scandinavica

    pub_type: 杂志文章

    doi:10.1111/j.1399-6576.1994.tb03857.x

    authors: Sjögren D,Sollevi A,Ebberyd A,Lindahl SG

    更新日期:1994-02-01 00:00:00

  • Danish Anaesthesia Allergy Centre - preliminary results.

    abstract:BACKGROUND:Anaphylactoid reactions in anaesthesia are rare and should ideally be investigated in specialist centres. At Gentofte University Hospital, we established such a centre in 1998 as a joint venture between the Departments of Anaesthesiology and Dermatology. We present the methodology, diagnostic algorithm and p...

    journal_title:Acta anaesthesiologica Scandinavica

    pub_type: 杂志文章

    doi:10.1034/j.1399-6576.2001.451005.x

    authors: Garvey LH,Roed-Petersen J,Menné T,Husum B

    更新日期:2001-11-01 00:00:00

  • Evaluation of the efficacy of elastic compression stockings in prevention of hypotension during epidural anaesthesia for elective caesarean section.

    abstract::The ability of graduated compression elastic stockings to prevent hypotension during elective epidural caesarean section was evaluated. Twenty women were randomly assigned to two groups of ten, one group being fitted with the stockings. The incidence and degree of hypotension were the same in both groups. Graduated co...

    journal_title:Acta anaesthesiologica Scandinavica

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1111/j.1399-6576.1987.tb02548.x

    authors: Lee A,McKeown D,Wilson J

    更新日期:1987-04-01 00:00:00

  • DNA and chromosome alterations in lymphocytes of operating room personnel and in patients before and after inhalation anaesthesia.

    abstract::In order to evaluate the possible genotoxic effects of inhalation anaesthetics, the frequency of sister chromatid exchanges and chromosome aberrations was studied in peripheral lymphocytes of control subjects, operating room personnel and patients before and after inhalation anaesthesia during orthopaedic operations. ...

    journal_title:Acta anaesthesiologica Scandinavica

    pub_type: 杂志文章

    doi:10.1111/j.1399-6576.1982.tb01814.x

    authors: Holmberg K,Lambert B,Lindsten J,Söderhäll S

    更新日期:1982-10-01 00:00:00

  • A new nomogram facilitating adequate haemodilution.

    abstract::When using deliberate haemodilution to a certain haematocrit value (Hct), the appropriate preoperative blood volume of the patient must be determined and matched with the transfusion volume at a certain blood loss. In order to facilitate such calculations a nomogram was constructed, aiming for a final Hct of 33%. Preo...

    journal_title:Acta anaesthesiologica Scandinavica

    pub_type: 杂志文章

    doi:10.1111/j.1399-6576.1986.tb02418.x

    authors: Zetterström H,Wiklund L

    更新日期:1986-05-01 00:00:00

  • Choice of anesthetic alters the circulatory shock pattern as gauged by conscious rat endotoxemia.

    abstract::A standardized rat endotoxin shock model was used to assess the differential effects of four commonly used anesthetics upon hemodynamics before and during endotoxin shock. Forty-nine male Sprague-Dawley rats weighing 307 +/- 4 g were divided into five groups:freely-moving conscious, enflurane (2%), isoflurane (1.4%), ...

    journal_title:Acta anaesthesiologica Scandinavica

    pub_type: 杂志文章

    doi:10.1111/j.1399-6576.1987.tb02619.x

    authors: Schaefer CF,Biber B,Brackett DJ,Schmidt CC,Fagraeus L,Wilson MF

    更新日期:1987-08-01 00:00:00

  • Electrophysiological effects of desflurane in children with Wolff-Parkinson-White syndrome: a randomized crossover study.

    abstract:BACKGROUND:We hypothesized that, compared with propofol, desflurane prolongs the antegrade accessory pathway effective refractory period (APERP) in children undergoing radiofrequency catheter ablation for Wolff-Parkinson-White (WPW) syndrome. METHODS:In this randomized crossover study, children aged 4.1-16.1 years und...

    journal_title:Acta anaesthesiologica Scandinavica

    pub_type: 杂志文章,随机对照试验

    doi:10.1111/aas.13023

    authors: Hino H,Oda Y,Yoshida Y,Suzuki T,Shimada M,Nishikawa K

    更新日期:2018-02-01 00:00:00

  • Influence of the type of anaesthesia on post-operative subjective physical well-being and mental function in elderly patients.

    abstract::Standardized behavioural observations were used to establish the influence of the type of anaesthesia on the mental function and the subjective physical well-being in 60 patients, all men, following urological surgery. The patients were randomized to two groups, receiving spinal or general anaesthesia. For evaluation ...

    journal_title:Acta anaesthesiologica Scandinavica

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1111/j.1399-6576.1992.tb03531.x

    authors: Crul BJ,Hulstijn W,Burger IC

    更新日期:1992-10-01 00:00:00

  • Reversal of postoperative somnolence using a two-rate infusion of physostigmine.

    abstract::In order to antagonize immediate postoperative somnolence, 24 surgical patients were given a two-rate infusion of physostigmine, aiming at a constant plasma concentration in the range of 1 to 10 ng/ml. Plasma concentrations of physostigmine were determined during infusion and after infusion and the effects of physosti...

    journal_title:Acta anaesthesiologica Scandinavica

    pub_type: 杂志文章

    doi:10.1111/j.1399-6576.1989.tb02991.x

    authors: Hartvig P,Lindström B,Pettersson E,Wiklund L

    更新日期:1989-11-01 00:00:00

  • Hepatic blood flow and cardiac output during Fluoromar anaesthesia. An animal study.

    abstract::Related values of cardiac output and hepatic blood flow were measured in eight premedicated (pethidine 10 mg/kg b.w.) dogs under varying depths of fluoromar anaesthesia. The measurements were first taken under basis anaesthesia with barbiturate (mebumal natrium 25 mg/kg b.w.) gallamine (80 mg)-N2O-O-O2 (ratio 2 to 1) ...

    journal_title:Acta anaesthesiologica Scandinavica

    pub_type: 杂志文章

    doi:10.1111/j.1399-6576.1976.tb05039.x

    authors: Juhl B,Einer-Jensen N

    更新日期:1976-01-01 00:00:00

  • Effect of the menstrual cycle phase on post-operative pain perception and analgesic requirements.

    abstract:BACKGROUND:Research has shown that menstrual cycle phase may affect pain sensitivity. There is a lack of studies evaluating this effect on post-operative pain and analgesic needs. METHODS:In this prospective cohort study, we determined the effect of menstrual cycle phase on pain perception and analgesic requirements f...

    journal_title:Acta anaesthesiologica Scandinavica

    pub_type: 杂志文章

    doi:10.1111/j.1399-6576.2012.02661.x

    authors: Ahmed A,Khan F,Ali M,Haqnawaz F,Hussain A,Azam SI

    更新日期:2012-05-01 00:00:00

  • Could benefits of epidural analgesia following oesophagectomy be measured by perceived perioperative patient workload?

    abstract:BACKGROUND:A controversy exists whether beneficial analgesic effects of epidural analgesia over intravenous analgesia influence the rate of post-operative complications and the length of hospital stay. There is some evidence that favours epidural analgesia following major surgery in high-risk patients. However, there i...

    journal_title:Acta anaesthesiologica Scandinavica

    pub_type: 杂志文章

    doi:10.1111/j.1399-6576.2008.01734.x

    authors: Bartha E,Rudin A,Flisberg P,Lundberg CJ,Carlsson P,Kalman S

    更新日期:2008-11-01 00:00:00

  • Experience with a "Feed and Swaddle" program in infants up to six months of age.

    abstract:BACKGROUND:Feed and swaddle is a technique in which an infant is fed and allowed to fall asleep to facilitate diagnostic imaging. This study reviews our experience and diagnostic success in premature and term infants up to 6 months old undergoing brain magnetic resonance imaging (MRI) using a feed and swaddle technique...

    journal_title:Acta anaesthesiologica Scandinavica

    pub_type: 杂志文章

    doi:10.1111/aas.13471

    authors: Templeton LB,Norton MJ,Goenaga-Díaz EJ,McLaughlin DH,Zapadka ME,Templeton TW

    更新日期:2020-01-01 00:00:00

  • The cytokine response in a patient undergoing surgery for an ACTH-producing tumor.

    abstract::The administration of glucocorticoids has been used to inhibit the cytokine production in patients undergoing cardiac surgery during cardiopulmonary bypass. In this case report the cytokine response in a 43-year-old man undergoing operation for an ACTH-producing lung tumor is presented. There had been clinical symptom...

    journal_title:Acta anaesthesiologica Scandinavica

    pub_type: 杂志文章

    doi:10.1111/j.1399-6576.1997.tb04686.x

    authors: Höhndorf K,Toft P,Tønnesen E

    更新日期:1997-02-01 00:00:00

  • Sonoanatomy of the vasculature at the supraclavicular and interscalene regions relevant for brachial plexus block.

    abstract:BACKGROUND:Our aim in this observational study was to utilize ultrasound, as well as anatomic dissection, to document the frequency with which branches of the subclavian vessels are found in close association with the brachial plexus at the locations of supraclavicular and interscalene brachial plexus block. METHODS:U...

    journal_title:Acta anaesthesiologica Scandinavica

    pub_type: 杂志文章

    doi:10.1111/j.1399-6576.2011.02528.x

    authors: Muhly WT,Orebaugh SL

    更新日期:2011-11-01 00:00:00

  • Adenosine in the inhibition of diazepam sedation by aminophylline.

    abstract::Aminophylline in a low dose has been shown to reverse diazepam sedation. The present investigation was performed as a double-blind study to compare the effects of aminophylline and enprofylline on deep diazepam sedation after surgery. Enprofylline is a xanthine derivative with anti-asthmatic effect but, in contrast to...

    journal_title:Acta anaesthesiologica Scandinavica

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1111/j.1399-6576.1986.tb02462.x

    authors: Niemand D,Martinell S,Arvidsson S,Ekström-Jodal B,Svedmyr N

    更新日期:1986-10-01 00:00:00

  • Effects of high thoracic epidural anaesthesia on the peripheral airway reactivity in dogs.

    abstract:BACKGROUND:It has been speculated that epidural anaesthesia may induce bronchoconstriction via the mechanism of a sympathetic blockade. However, this hypothesis has not been confirmed by any experimental evidence. Therefore, we investigated the effects of high thoracic epidural anaesthesia with neural sympathetic block...

    journal_title:Acta anaesthesiologica Scandinavica

    pub_type: 杂志文章

    doi:10.1111/j.1399-6576.1998.tb05085.x

    authors: Yuan HB,Tang GJ,Kou YR,Lee TY

    更新日期:1998-01-01 00:00:00

  • Epidural ropivacaine -- where are the benefits? A prospective, randomized, double-blind trial in patients with retropubic prostatectomy.

    abstract:BACKGROUND:In comparison with bupivacaine, ropivacaine exhibits comparable anaesthetic effects but with less motor impairment and systemic toxicity. However, the analgesic potency may differ. For example, ropivacaine during obstetric epidural analgesia provides an approximately 40% lower analgesic potency than bupivaca...

    journal_title:Acta anaesthesiologica Scandinavica

    pub_type: 杂志文章,随机对照试验

    doi:10.1111/j.1399-6576.2006.01259.x

    authors: Heid F,Schmidt-Glintzer A,Piepho T,Jage J

    更新日期:2007-03-01 00:00:00